Individual provider Active NPI

Lori A Ruppel, LMSW

  • Clinical Social Worker
  • Clinton Township, MI
National Provider Identifier
1568575603
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801086018 Issued in MI
Practice address
15945 Canal Rd
Clinton Township, MI 48038-1610
Phone
(586) 416-2300
NPI assigned
Aug 15, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801086018 MI Primary

Addresses

Primary practice location

15945 Canal Rd
Clinton Township, MI 48038-1610

Mailing address

28088 Pine Tree LN
Harrison Township, MI 48045-2219
Phone (586) 468-7246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061006000383 MI Practitioner - Clinical Social Worker 8921004300 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Mindful Self LLCGroup PAC ID 1456575711, 7 clinicians

Practice addresses (Care Compare)

31201 Chicago Rd S
Suite A201
Warren, MI 48093-5552
Phone (248) 543-0033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801086018MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Mindful Self, LLC CurrentSince Mar 17, 2014 Accepting new patients
Julie N Sherbin Sher DO PLLC CurrentSince Jul 27, 2013 Accepting new patients
Christian Family Services of Lapeer County Past Accepting new patients
Catholic Services of Macomb Past Accepting new patients

Locations

41400 Dequindre Rd
Ste 107
Sterling Hts, MI 48314
Phone (586) 463-5831

31201 Chicago Rd S
Ste A201
Warren, MI 48093
Phone (248) 543-0033

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568575603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28088 PINE TREE LN",
            "city": "HARRISON TOWNSHIP",
            "state": "MI",
            "postal_code": "480452219",
            "telephone_number": "586-468-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15945 CANAL RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381610",
            "telephone_number": "586-416-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPPEL",
        "first_name": "LORI",
        "middle_name": "A",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801086018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

Verify at the official NPI Registry.